Prevalence and Clinical Impact of Acromial Cupping after Arthroscopic Rotator Cuff Repair: Does Acromioplasty Matter?

Oh, Seung Yeol; Jang, Young Hoon; Chae, Ihn Seok; Kim, Sae Hoon

doi:10.4055/cios21010

Cited by 5 publications

(7 citation statements)

References 19 publications

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“…A commonly accepted and widely used treatment approach for rotator cuff tears involves arthroscopic repair [1][2][3] . Although most patients experience satisfactory clinical outcomes after arthroscopic rotator cuff repair (ARCR), potential complications have also been reported from a number of studies [4][5][6][7] . Among reported complications following ARCR, shoulder stiffness is one of the most common, with an incidence ranging from 2.3 to 28.5% [8][9][10][11][12] .…”

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confidence: 99%

Incidence and risk factors for early postoperative stiffness after arthroscopic rotator cuff repair in patients without preoperative stiffness

Cho

Bae

Kim

2022

Sci Rep

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The purpose of this study was to investigate the incidence and risk factors of early postoperative stiffness in patients without preoperative stiffness undergoing isolated arthroscopic rotator cuff repair (ARCR). Two hundred seventy-four patients who underwent primary ARCR were included. At 3 months after surgery, criteria for shoulder stiffness was set as follows: (1) passive forward flexion < 120˚, or (2) external rotation at side < 30˚. Patients with preoperative stiffness or who underwent additional procedures were excluded. Patients-related, radiological (muscle atrophy and fatty infiltration), and intraoperative (tear size, repair techniques, number of anchors used, and synovitis scores) risk factors were analyzed. Univariate and multivariate analyses were used to identify risk factors for postoperative stiffness. Thirty-nine of 274 patients (14.2%) who underwent ARCR developed postoperative stiffness. Univariate analyses revealed that early postoperative stiffness was significantly associated with diabetes mellitus (p = 0.030). However, radiological and intraoperative factors did not affect postoperative shoulder stiffness (all p > 0.05). Multivariate analyses revealed early postoperative stiffness was significantly associated with diabetes mellitus and timing of rehabilitation (p = 0.024, p = 0.033, respectively). The overall incidence of early postoperative stiffness following isolated ARCR in patients without preoperative stiffness was 14.2%. Diabetes mellitus and timing of rehabilitation were independent risk factors for early postoperative stiffness following ARCR.

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Incidence and risk factors for early postoperative stiffness after arthroscopic rotator cuff repair in patients without preoperative stiffness

Cho

Bae

Kim

2022

Sci Rep

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“…Arthroscopic rotator cuff repair (ARCR) is a procedure that is widely performed with satisfactory outcomes[ 2 - 5 ]. Development of knot impingement as a complication after ARCR has been suggested as a cause of persistent pain with limited motion[ 6 , 7 ].…”

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confidence: 99%

Knot impingement after arthroscopic rotator cuff repair mimicking infection: A case report

Kim¹,

Jeon²,

Choi³

et al. 2022

WJCC

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BACKGROUND Knot impingement as a complication after arthroscopic rotator cuff repair (ARCR) has been suggested as a cause of persistent pain with limited motion. We report on a case involving a patient who developed knot impingement after ARCR who complained of acute onset of pain with limited motion, which was confused with infection. CASE SUMMARY A 55-year-old female who complained of severe pain with limited motion of the right shoulder visited our emergency room. Passive range of motion could not be evaluated due to the patient’s severe pain. The patient had undergone ARCR using a suture-bridge technique at a local clinic four months ago for treatment of a small supraspinatus tear of the right shoulder. An erosive change of the undersurface of the acromion was observed on plain radiographs of the right shoulder, and a moderate amount of bursal fluid and synovial thickening with enhancement was observed by magnetic resonance imaging. Results of an analysis of the aspirated fluid showed that the WBC count was 3960 with 90% neutrophils. The arthroscopic view showed healing of the repaired supraspinatus tendon and loose suture threads and knots with severe subacromial bursitis were observed. Debridement of inflammatory tissues of the glenohumeral joint and subacromial space was performed for the removal of all suture materials. The patient’s symptoms subsided immediately after the surgical procedure. CONCLUSION Although the incidence of knot impingement is rare, the possibility of knot impingement after ARCR should be a consideration.

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“…Since arthroscopic acromioplasty was first introduced by Neer in 1972, 6 its incidence has increased significantly, especially as a concomitant procedure in the management of rotator cuff tears. 7 Modification of the acromial morphology through acromioplasty reduces mechanical impingement and the risk of rotator cuff retear. 7 , 8 However, despite the popularity of acromioplasty, its effectiveness remains debated in the literature.…”

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“… 7 Modification of the acromial morphology through acromioplasty reduces mechanical impingement and the risk of rotator cuff retear. 7 , 8 However, despite the popularity of acromioplasty, its effectiveness remains debated in the literature. 7 …”

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confidence: 99%

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Prior Acromioplasty Provides Similar Outcomes and Rate of Postoperative Complications Including Acromial Fracture After Reverse Total Shoulder Arthroplasty: A Retrospective Matched-Cohort Analysis

Blaber

Hadley

Gutman

et al. 2023

Arthroscopy, Sports Medicine, and Rehabilitation

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Prevalence and Clinical Impact of Acromial Cupping after Arthroscopic Rotator Cuff Repair: Does Acromioplasty Matter?

Cited by 5 publications

References 19 publications

Incidence and risk factors for early postoperative stiffness after arthroscopic rotator cuff repair in patients without preoperative stiffness

Incidence and risk factors for early postoperative stiffness after arthroscopic rotator cuff repair in patients without preoperative stiffness

Knot impingement after arthroscopic rotator cuff repair mimicking infection: A case report

Prior Acromioplasty Provides Similar Outcomes and Rate of Postoperative Complications Including Acromial Fracture After Reverse Total Shoulder Arthroplasty: A Retrospective Matched-Cohort Analysis

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